1.Easy
After a stroke, a patient has "aphasia". What does this mean?
- ALoss of vision in one eye
- BDifficulty swallowing food, drink and saliva
- CDifficulty understanding or producing language
- DWeakness of one side of the body
2.Easy
While an automated external defibrillator (AED) is analysing the rhythm or delivering a shock, what must everyone do?
- AHold the patient's hand
- BGive rescue breaths
- CStand clear and not touch the patient
- DKeep doing chest compressions without pausing
3.Easy
If a blood pressure cuff is too small for the patient's arm, the reading will tend to be:
- AFalsely high
- BAccurate
- CImpossible to obtain
- DFalsely low
4.Medium
The WHO analgesic ladder recommends:
- AGiving analgesia only when pain becomes severe
- BUsing only non-drug methods for cancer pain
- CStarting all patients on strong opioids
- DMoving from non-opioids to weak and then strong opioids as pain increases
5.Medium
A patient with sickle cell disease is admitted with a painful crisis. What is a key early nursing priority?
- AGiving prompt, effective analgesia
- BDelaying pain relief until a diagnosis is confirmed
- CApplying cold packs to the painful areas
- DRestricting oral fluids
6.Medium
A patient with type 1 diabetes has blood glucose of 25 mmol/L, deep rapid breathing and ketones in the urine. What is the likely diagnosis?
- AHyperosmolar hyperglycaemic state without ketones
- BNormal glucose fluctuation
- CDiabetic ketoacidosis
- DHypoglycaemia
7.Hard
Which nursing measure helps reduce raised intracranial pressure?
- AFrequent suctioning and encouraging strong coughing
- BTilting the patient head-down
- CLying the patient flat with the neck flexed forward on two pillows
- DRaising the head of the bed to about 30° with the head kept midline
8.Hard
Which patient should a ward nurse assess first at the start of a shift?
- AA patient asking for a laxative
- BA patient with new-onset confusion and a respiratory rate of 28/min
- CA patient with chronic back pain scored 4/10
- DA patient awaiting discharge with stable observations
Answer key
- 1. C · Difficulty understanding or producing language
- 2. C · Stand clear and not touch the patient
- 3. A · Falsely high
- 4. D · Moving from non-opioids to weak and then strong opioids as pain increases
- 5. A · Giving prompt, effective analgesia
- 6. C · Diabetic ketoacidosis
- 7. D · Raising the head of the bed to about 30° with the head kept midline
- 8. B · A patient with new-onset confusion and a respiratory rate of 28/min
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